中国基于网络的付费医疗咨询服务的提供:卡塔尔世界杯8强波胆分析某医疗咨询网站数据横断面分析%李a，玉梅% a Yan，祥斌% a Song，晓龙%+哈尔滨工业大学，86 13351288123，中国哈尔滨市南港区西大直街92号，xbyan@hit.edu.cn %K e-consultation %K Medical service %K fee %K China %D 2019 %7 03.06.2019 %9原文%J J Med Internet Res %G English %X基于网络的医疗咨询已被许多国家的患者所采用，需要大量的医生提供服务。然而，没有一项研究提供了提供在线服务的医生的整体情况。目的:本研究旨在调查医生在在线咨询平台上参与医疗咨询实践的情况。本文旨在解决以下问题:(1)哪些医生提供基于网络的会诊服务;(2)医生在网上接待了多少患者;(3)他们收取的价格是多少。进一步探索各部门、各省份细分市场的发展。方法:本研究对一个中文网络会诊平台上所有在业余时间提供会诊服务的医生进行数据挖掘。我们还带来了在中国提供线下咨询的医生的统计数据。我们采用Bonferroni多重比较程序和z检验对各组医生进行比较。 Results: There are 88,308 doctors providing Web-based consultation in their spare time on Haodf, accounting for 5.25% (88,308/1,680,062) of all doctors in China as of September 23, 2017. Of these online doctors, 49.9% (44,066/88,308) are high-quality doctors having a title of chief physician or associate chief physician, and 84.8% (74,899/88,308) come from the top, level 3, hospitals. Online doctors had an average workload of 0.38 patients per doctor per day, with an online and offline ratio of 1:14. The average price of online consultation is ¥32.3. The online ratios for the cancer, internal medicine, ophthalmology-otorhinolaryngology, psychiatry, gynecology-obstetrics-pediatrics, dermatology, surgery, and traditional Chinese medicine departments are 16.1% (2,983/18,481), 4.4% (16,231/372,974), 6.3% (8,389/132,725), 9.5% (1,600/16,801), 5.8% (12,955/225,128), 18.0% (3,334/18,481), 10.8% (24,030/223,448), and 3.8% (8,393/22,3448), respectively. Most provinces located in eastern China have more than 4000 doctors online. The online workloads for doctors from most provinces range from 0.3 to 0.4 patients per doctor per day. In most provinces, doctors’ charges range from ¥20 to ¥30. Conclusions: Quality doctors are more likely to provide Web-based consultation services, get more patients, and charge higher service fees in an online consultation platform. Policies and promotions could attract more doctors to provide Web-based consultation. The online submarket for the departments of dermatology, psychiatry, and gynecology-obstetrics-pediatrics developed better than other departments such as internal medicine and traditional Chinese medicine. The result could be a reference for policy making to improve the medical system both online and offline. As all the data used for analysis were from a single website, the data might be biased and might not be a representative national sample of China. %M 31162129 %R 10.2196/12126 %U //www.mybigtv.com/2019/6/e12126/ %U https://doi.org/10.2196/12126 %U http://www.ncbi.nlm.nih.gov/pubmed/31162129